Andrea Maryann Bruno, LMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

11315 Issued in FL

Practice address

655 W Hwy 50
Suite 104 Lifestream
Clermont, FL 34711-2982

Phone

(352) 394-5922

NPI assigned

Apr 18, 2007

Last updated

Jul 28, 2012By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1176854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1343433600000",
    "number": "1619193513",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "655 W HWY 50",
            "city": "CLERMONT",
            "state": "FL",
            "postal_code": "347112982",
            "telephone_number": "352-394-5922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "655 W HWY 50",
            "address_2": "SUITE 104 LIFESTREAM",
            "city": "CLERMONT",
            "state": "FL",
            "postal_code": "347112982",
            "telephone_number": "352-394-5922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRUNO",
        "first_name": "ANDREA",
        "middle_name": "MARYANN",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-18",
        "last_updated": "2012-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "11315",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "810268601",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jacqueline Brown
• Jermaine Brown
• Stephan Brown, PHD, LMHC, NCC,
• Syreeta Brown
• Cuthbert Browne
• Jean Bruno
• Felicia Dawn Bryant, LMT
• Michael Andrew Bryant, MSW, LCSW
• Samantha K Bryant, LCSW
• Sarah Bryce

• Mental Health Counselor in Clermont, FL
• Providers in Clermont, FL by specialty
• Mental Health Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.